Organization
TUBI CONNECT INC.
Active
Other names
White Ink Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
KIM HUYNH (ADMINISTRATOR)
(858) 997-7415
Entity
Organization
Contact information
Practice address
8950 VILLA LA JOLLA DR STE C117, LA JOLLA, CA 92037-1707
(858) 997-0235
Mailing address
2434 MEADOW LARK DR, SAN DIEGO, CA 92123-3316
(858) 997-7415
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
—
—
251K00000X
Public Health or Welfare Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QR1100X
Research Clinic/Center
—
—
Other
Enumeration date
12/15/2019
Last updated
12/28/2023
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